Cragg, John A

Cragg, John A is an individual health care provider with primary practice located at 1020 Lakeshore Dr , Rice Lake WI 54868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cragg, John A can be contacted via phone (715) 236-8134.

Contact Information

Primary practice address
1020 Lakeshore Dr Rice Lake WI 54868
Phone: (715) 236-8134
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30112 Wisconsin

Profile Details

NPI number 1154436624
LBN Legal business name Cragg, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Nov 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154436624 NPPES
Wisconsin MEDICAID 30625800

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